Provider First Line Business Practice Location Address:
226 N KUAKINI ST
Provider Second Line Business Practice Location Address:
SUITE 168
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-996-1301
Provider Business Practice Location Address Fax Number:
602-773-6615
Provider Enumeration Date:
06/22/2007